Provider Demographics
NPI:1538148226
Name:DORSEY, HEATHER COOPER (MS, CGC)
Entity type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:COOPER
Last Name:DORSEY
Suffix:
Gender:F
Credentials:MS, CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2930 NE 36TH AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97212-2834
Mailing Address - Country:US
Mailing Address - Phone:503-282-4881
Mailing Address - Fax:
Practice Address - Street 1:300 N GRAHAM ST STE 100
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97227-1667
Practice Address - Country:US
Practice Address - Phone:503-413-3775
Practice Address - Fax:503-418-4238
Is Sole Proprietor?:No
Enumeration Date:2006-01-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS